Dubois Alejandra, Lévesque Mélanie
Office of the Chief Science Officer, Public Health Agency of Canada, Ottawa, ON.
Can Commun Dis Rep. 2020 Feb 6;46(2-3):31-35. doi: 10.14745/ccdr.v46i23a02.
Although evidence-informed decision-making is fundamental to public health, it is challenging in practice as there is a continual burgeoning of both evidence and emerging issues, which public health professionals need to address at local, regional and national levels. One way that Canada has addressed this perennial challenge is through its six National Collaborating Centres (NCCs). The NCCs for Public Health were created to promote and support the use of scientific research and other knowledge to strengthen public health practice, programs and policies in Canada. The NCCs identify knowledge gaps, foster networks across sectors and jurisdictions and provide the public health system with an array of evidence-informed resources and knowledge translation services. Each centre is hosted in academic or government organizations across Canada and focuses on a specific public health priority: Determinants of Health; Environmental Health; Healthy Public Policy; Indigenous Health; Infectious Diseases; and Knowledge Translation Methods and Tools. Since their launch in 2005, the NCCs have undergone two federal evaluations, the results of which clearly demonstrate their significant contribution to evidence-informed decision-making in public health in Canada, while identifying some opportunities for future growth. The NCCs successfully help to bridge the gaps between evidence, policy and practice and facilitate the implementation of evidence in multiple, often complex, settings.
尽管基于证据的决策是公共卫生的基础,但在实践中却具有挑战性,因为证据和新出现的问题不断涌现,公共卫生专业人员需要在地方、区域和国家层面加以应对。加拿大应对这一长期挑战的一种方式是通过其六个国家协作中心(NCCs)。公共卫生国家协作中心的设立旨在促进和支持利用科学研究及其他知识,以加强加拿大的公共卫生实践、项目和政策。这些中心找出知识差距,促进跨部门和跨辖区的网络建设,并为公共卫生系统提供一系列基于证据的资源和知识转化服务。每个中心都设在加拿大各地的学术或政府组织内,专注于特定的公共卫生重点领域:健康决定因素;环境卫生;健康公共政策;原住民健康;传染病;以及知识转化方法和工具。自2005年成立以来,这些国家协作中心已经历了两次联邦评估,评估结果清楚地表明了它们对加拿大公共卫生领域基于证据的决策做出的重大贡献,同时也确定了一些未来发展的机会。这些中心成功地帮助弥合了证据、政策和实践之间的差距,并促进了在多个往往很复杂的环境中实施证据。